Individual
MR. TERRY LEE PELAYO
Active
Individual
MR. TERRY LEE PELAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA22947
CA
Other
Enumeration date
04/24/2013
Last updated
04/06/2021
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